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- You are caring for Tim, a 78-y/o man admitted with a neurologic problem. As you enter his room, he says, “Hi, you must be my son’s friend. Come in. I’m Tim & this is my wife, Martha. I’m sorry our house is a mess. This year, 1968, isn’t a good year for us.” 1.How would you describe and document his mental status? 2.What may have contributed to this? Give at least three. 3.From your answer in #2, what will be your 3 topmost priority plans of care? Do not forget to cite your references to support/justify your answers.Is the prescription is rational or irrational ?You are responding to a private residence for an 80-year-old female, with altered mental status. The husband called 911. When you arrive, their adult son is on the scene. He was not aware of the 911 call and says his dad has dementia and must have gotten scared and called just before he got there. He says his mom is a diabetic and this is a pretty common occurrence, but he's not sure how it happened this time. The son said her blood sugar was 400, and he was just about to administer her normal dose of insulin. He says that since her sugar is so high, he wants to increase the dose. He is willing to sign a refusal on her behalf. Do you allow him to give the insulin? Assume the insulin is not expired and is prescribed to her. If yes, do you allow the refusal? Why or why not? Explain your decision to the son, including what is happening on a physiologic level (in terms a layman can understand) What is the long-term solution for this situation of repeated episodes of hyperglycemia?
- Read the case below and then answer these questions: 1) Could Honey's daydreaming be a sign of epilepsy? What test could help to confirm such a diagnosis?, 2) What signs would one look for in this test if epilepsy is present? Honey's teachers describe her as a daydreamer. The teachers often find her staring off into space when they try to get her attention. When Honey's parents mentioned this to their family physician, the possibility of epilepsy was brought up by the physician.You have an employee who has a chemical imbalance in the brain that causes him to be severely emotionally unstable. The medication that is available to treat this schizophrenic condition is extremely powerful and decreases the taker’s life span by one to two years for every year that the user takes it. You know that his doctors and family believe that it is in his best interest to take the \medication. What course of action should you follow?A 32-year-old woman comes to the office with her 2-year-old son, whom you have been treating for spina bifida. The mother says that she would like to have another child, but she is concerned about the possibility that her future children may also have spina bifida. She currently takes a multivitamin containing 400 µg of folic acid. You advise her that to minimize the risk for having a second child with spina bifida she should do which of the following? ) Cantinue her current vitamin regimen, preconceptionally and during the first trimester Increase her dietary intake of folate-rich focs, preconceptionally and during the first trimester Take additional supplementary folic acid as soon as she becomes pregnant Take additional supplementary folic acid, preconceptionally and during the first trimester Take two multivitamins daily, preconceptionally and during the first trimester
- can you comment on the cognitive dysfunction that patients with DMD can possibly experience? Can you please help me with that question? Thank you in advance!Read each case example carefully. Based on the presentation of symptoms, you must correctly whether the case is an example of Shizophrenia or Generalized Anxiety Disorder or Neither. [image.png]How could dementia patients be cared for in care homes?
- Which neurodegenerative disease discussed in class was associated with emotional/mood dysregulation in the later stages of the disease? Parkinson's Disease Huntington Disease Alzheimer's Disease All of the aboveWhat is epilepsy, how does it affect persons and how can it be treatedJohnny is 7 years old and in the first grade. He has trouble sitting still, often loses things, is very loud, and acts very impulsively. Your evaluation has determined that he meets criteria for ADHD. His parents are coming to your office tomorrow to discuss the results. How do you tell them? What if they feel that they’ve done something wrong? Do you recommend psychotherapy? Do you recommend medication?
![Read each case example carefully. Based on the presentation of symptoms, you must correctly whether the case is an example of Shizophrenia or Generalized Anxiety Disorder or Neither. [image.png]](/questions-and-answers/shizophrenia-or-generalized-anxiety-disorder-or-neither.-image.png/0be7bcdf-2615-4dfe-a069-d4405241c135){kind=link}